Missouri State-Specific Data from the Genworth 2013 Cost of Care Survey

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Tenth Edition l Cost of Care Survey 2013 State-Specific Data from the Genworth 2013 Cost of Care Survey Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes 118928MO 03/18/13

Cost of Care Survey 2013 I Homemaker Services Hourly Rates (Licensed) USA $10 $18 $36 $41,756 1% Whole State $15 $17 $25 $38,896-1% Cape Girardeau-Jackson $15 $16 $16 $36,128 N/A Columbia $17 $18 $25 $41,184 N/A Jefferson City N/A N/A N/A N/A N/A Joplin $17 $17 $17 $38,667 1% Kansas City $16 $20 $22 $46,057 1% Springfield $17 $18 $18 $40,040 N/A St. Joseph $16 $16 $17 $36,608 0% St. Louis $16 $19 $22 $43,426 1% Rest of State $15 $17 $19 $38,804 1% Home Health Aide Services Hourly Rates (Licensed) USA $10 $19 $37 $44,479 1% Whole State $16 $18 $25 $41,184 0% Cape Girardeau-Jackson $17 $19 $21 $43,724 N/A Columbia $18 $19 $25 $43,472 N/A Jefferson City N/A N/A N/A N/A N/A Joplin $17 $17 $18 $39,811 2% Kansas City $18 $21 $22 $48,048 2% Springfield $17 $18 $18 $40,040 N/A St. Joseph $16 $16 $18 $36,608 0% St. Louis $17 $20 $22 $44,616 1% Rest of State $16 $17 $19 $39,468 1%

Cost of Care Survey 2013 I Adult Day Health Care Daily Rates USA $15 $65 $210 $16,900 2% Whole State $28 $70 $120 $18,200 2% Cape Girardeau-Jackson $70 $70 $70 $18,252 2% Columbia $84 $84 $84 $21,840 6% Jefferson City N/A N/A N/A N/A N/A Joplin N/A N/A N/A N/A N/A Kansas City $45 $55 $75 $14,300-3% Springfield $28 $73 $90 $18,850 3% St. Joseph N/A N/A N/A N/A N/A St. Louis $42 $72 $114 $18,616 4% Rest of State $45 $68 $120 $17,680 4% Assisted Living Facility Monthly Rates (One Bedroom Single Occupancy) USA $718 $3,450 $9,500 $41,400 4% Whole State $1,310 $2,288 $5,130 $27,450 3% Cape Girardeau-Jackson $1,310 $2,714 $3,810 $32,568 3% Columbia $1,700 $2,275 $5,100 $27,300-4% Jefferson City $1,563 $2,725 $4,691 $32,700 13% Joplin $1,874 $2,940 $3,540 $35,280 3% Kansas City $1,832 $2,685 $4,515 $32,220-5% Springfield $1,650 $2,250 $3,750 $27,000 4% St. Joseph $1,400 $2,325 $4,050 $27,900-1% St. Louis $1,829 $2,913 $4,050 $34,950 2% Rest of State $1,500 $2,163 $5,130 $25,950 4%

Cost of Care Survey 2013 I Nursing Home Daily Rates (Semi-Private Room) USA $85 $207 $948 $75,405 4% Whole State $110 $145 $210 $52,830 3% Cape Girardeau-Jackson $124 $140 $165 $51,100 N/A Columbia $135 $138 $169 $50,370 0% Jefferson City $125 $134 $165 $48,728 1% Joplin $145 $152 $166 $55,480 5% Kansas City $128 $149 $265 $54,385 0% Springfield $129 $170 $188 $62,050 6% St. Joseph $129 $135 $186 $49,275 N/A St. Louis $120 $155 $210 $56,575 4% Rest of State $110 $135 $172 $49,275 3% Nursing Home Daily Rates (Private Room) USA $100 $230 $948 $83,950 4% Whole State $115 $159 $290 $58,035 4% Cape Girardeau-Jackson $145 $151 $190 $55,115 N/A Columbia $137 $154 $180 $56,210 1% Jefferson City $137 $154 $176 $56,028 3% Joplin $165 $167 $180 $60,955 5% Kansas City $132 $160 $295 $58,400-1% Springfield $155 $200 $219 $73,000 10% St. Joseph $139 $169 $206 $61,685 N/A St. Louis $134 $175 $290 $63,966 1% Rest of State $115 $147 $185 $53,655 3%

Cost of Care Survey 2013 I Data Table End Notes 1 Annual Rates* are calculated based on the following: Homemaker Services - hourly rate multiplied by 44 hours per week, multiplied by 52 weeks Home Health Aide Services - hourly rate multiplied by 44 hours per week, multiplied by 52 weeks Adult Day Health Care - daily rate multiplied by 5 days per week, multiplied by 52 weeks Assisted Living Facility - monthly rate multiplied by 12 months Nursing Home - daily rate multiplied by 365 days 2 Represents the compound annual growth rate based on Genworth Cost of Care Survey data from 2008 to 2013 *Hourly, daily and monthly rates are rounded to the nearest whole dollar.

About CareScout Headquartered in Waltham, Massachusetts, CareScout helps Americans across the United States find quality care providers for their long term care needs. As an objective source for this provider information, CareScout, a Genworth company, developed the nation s first quality-of-care ratings system for certified nursing homes and home care providers. Large employers, risk underwriters and families rely on CareScout s proprietary ratings system, the CareScout network and its database of about 100,000 providers including nursing homes, assisted living facilities and home care agencies to help find and arrange the most appropriate care for loved ones. For more information, visit carescout.com. About Genworth Financial Genworth Financial, Inc. (NYSE: GNW) is a leading Fortune 500 insurance holding company dedicated to helping people secure their financial lives, families and futures. Genworth has leadership positions in offerings that assist consumers in protecting themselves, investing for the future and planning for retirement including life insurance, long term care insurance, financial protection coverages, independent advisor-based wealth management and mortgage insurance that helps consumers achieve home ownership while assisting lenders in managing their risk and capital. Genworth has approximately 6,300 employees and operates through three divisions: U.S. Life Insurance, which includes life insurance, long term care insurance and fixed annuities; Global Mortgage Insurance, containing U.S. Mortgage Insurance and International Mortgage Insurance segments; and the Corporate and Other division, which includes the International Protection, Wealth Management and Runoff segments. Products and services are offered through financial intermediaries, advisors, independent distributors and sales specialists. Genworth Financial, Inc., headquartered in Richmond, Virginia, traces its roots back to 1871 and became a public company in 2004. For more information, visit genworth.com. From time to time, Genworth Financial, Inc. releases important information via postings on its corporate website. Accordingly, investors and other interested parties are encouraged to enroll to receive automatic email alerts and Really Simple Syndication (RSS) feeds regarding new postings. Enrollment information is found under the Investors section of genworth.com. Visit genworth.com/costofcare to: download the Cost of Care mobile application compare daily, monthly and annual costs across locations calculate future costs of care get more information about the Cost of Care Survey Insurance and annuity products: Are not deposits. Are not insured by the FDIC or any other federal government agency. May decrease in value. Are not guaranteed by the bank or its affiliates. 2007-2013 Genworth Financial, Inc. and National Eldercare Referral Systems, LLC (CareScout). All rights reserved. Genworth, Genworth Financial and the Genworth logo are registered service marks of Genworth Financial, Inc.